Organization
PEDIATRIC REHAB SERVICES, PC
Active
Other names
Pediatric Rehab Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALBERT SKODA (BUSINESS MANAGER)
(901) 756-7356
Entity
Organization
Contact information
Practice address
9282 INGLESIDE FARM N, GERMANTOWN, TN 38139-6719
(901) 756-7356
(901) 756-1349
Mailing address
9282 INGLESIDE FARM N, GERMANTOWN, TN 38139-6719
(901) 756-7356
(901) 756-1349
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3074
TN
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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